中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
13期
1938-1940
,共3页
心肌梗死%心室功能,左%连续气道正压通气
心肌梗死%心室功能,左%連續氣道正壓通氣
심기경사%심실공능,좌%련속기도정압통기
Myocardial infarction%Ventricular function%lef%Continuous positive airway pressure
目的 探讨呼吸机无创正压通气在老年人急性心肌梗死并左心衰竭中的临床应用价值.方法 将70例急性心肌梗死并左心衰竭患者随机数字表法分为观察组和对照组,对照组患者接受常规治疗,观察组患者在其基础上应用无创正压通气,比较两组患者治疗后相关指标及两组患者转为气管插管比例、病死率和住院时间.结果 与对照组比较,观察组患者二氧化碳分压(PaCO2)、呼吸频率(RR)、心率(HR)及收缩压(SBP)改善更显著,氧分压(PaO2)及氧饱和度(SaO2)升高更显著(t=4.2588、5.144、7.127、4.2814、6.4719、6.2629,均P＜0.05)；观察组患者心搏量(SV)、射血分数(EF)升高更显著,中心静脉压(CVP)降低更显著(t=12.0527、14.0937、14.6425,P＜0.05)；观察组患者转为气管插管及死亡比例均显著低于对照组,平均住院时间显著短于对照组(x2 =4.6289、4.2000,t=6.3892,均P＜0.05).结论 在急性心肌梗死并左心衰竭的治疗中,无创正压通气能够明显改善患者心脏功能、肺通气及换气功能,提高治疗效果.
目的 探討呼吸機無創正壓通氣在老年人急性心肌梗死併左心衰竭中的臨床應用價值.方法 將70例急性心肌梗死併左心衰竭患者隨機數字錶法分為觀察組和對照組,對照組患者接受常規治療,觀察組患者在其基礎上應用無創正壓通氣,比較兩組患者治療後相關指標及兩組患者轉為氣管插管比例、病死率和住院時間.結果 與對照組比較,觀察組患者二氧化碳分壓(PaCO2)、呼吸頻率(RR)、心率(HR)及收縮壓(SBP)改善更顯著,氧分壓(PaO2)及氧飽和度(SaO2)升高更顯著(t=4.2588、5.144、7.127、4.2814、6.4719、6.2629,均P＜0.05)；觀察組患者心搏量(SV)、射血分數(EF)升高更顯著,中心靜脈壓(CVP)降低更顯著(t=12.0527、14.0937、14.6425,P＜0.05)；觀察組患者轉為氣管插管及死亡比例均顯著低于對照組,平均住院時間顯著短于對照組(x2 =4.6289、4.2000,t=6.3892,均P＜0.05).結論 在急性心肌梗死併左心衰竭的治療中,無創正壓通氣能夠明顯改善患者心髒功能、肺通氣及換氣功能,提高治療效果.
목적 탐토호흡궤무창정압통기재노년인급성심기경사병좌심쇠갈중적림상응용개치.방법 장70례급성심기경사병좌심쇠갈환자수궤수자표법분위관찰조화대조조,대조조환자접수상규치료,관찰조환자재기기출상응용무창정압통기,비교량조환자치료후상관지표급량조환자전위기관삽관비례、병사솔화주원시간.결과 여대조조비교,관찰조환자이양화탄분압(PaCO2)、호흡빈솔(RR)、심솔(HR)급수축압(SBP)개선경현저,양분압(PaO2)급양포화도(SaO2)승고경현저(t=4.2588、5.144、7.127、4.2814、6.4719、6.2629,균P＜0.05)；관찰조환자심박량(SV)、사혈분수(EF)승고경현저,중심정맥압(CVP)강저경현저(t=12.0527、14.0937、14.6425,P＜0.05)；관찰조환자전위기관삽관급사망비례균현저저우대조조,평균주원시간현저단우대조조(x2 =4.6289、4.2000,t=6.3892,균P＜0.05).결론 재급성심기경사병좌심쇠갈적치료중,무창정압통기능구명현개선환자심장공능、폐통기급환기공능,제고치료효과.
Objective To investigate the application value of breathing machine noninvasive positive pressure ventilation in acute myocardial infarction patients with left ventricular failure.Methods 70 acute myocardial infarction patients with left ventricular failure were randomly divided into observation group and control group,the control group received conventional treatment,on the basis of the control group,patients in the observation group were treated with noninvasive positive pressure ventilation.The treatment indicators and the proportion of converted to endotracheal intubation,mortality and length of hospital stay were compared between the two groups.Results Compared with the control group,the PaCO2,RR,HR and SBP of observation group reduced more significantly,PaO2 and SaO2 increased more significantly(t =4.2588,5.144,7.127,4.2814,6.4719,6.2629,all P ＜ 0.05).Compared with the control group,the SV and EF of observation group increased more significantly,CVP decreased more significantly (t =12.0527,14.0937,14.6425,all P ＜0.05).The patients converted to endotracheal intubation and mortality ratio were significantly lower than the control group,the average length of stay was significantly shorter than the control group(x2 =4.6289,4.2000,t =6.3892,all P ＜ 0.05).Conclusion In the treatment of acute myocardial infarction patients with left ventricular failure,noninvasive positive pressure ventilation can significantly improve cardiac function,lung ventilation and ventilatory function,increase the therapeutic effect.
